| NPI | 1013989433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 6237) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL 6237) |
| 103TH0100X Psychologist, Health Service (Licence: FL 6237) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL 6237) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL 6237) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2026-01-14 |